Medicare Quality Improvement Manager

Job Summary

Leading Medicare Stars quality improvement initiatives, the full-time Senior Program Manager will manage and execute projects, collaborate with cross-functional teams, and drive improvements to enhance Medicare Star ratings.

Key responsibilities

• Collaborates with corporate and health plan teams to develop and implement Medicare Stars quality improvement programs
• Monitors and tracks key performance indicators (KPIs) related to Stars and quality improvement initiatives
• Serves as a subject matter expert, providing recommendations and insights to improve Medicare Stars performance

Required qualifications

• At least 7 years of Medicare Stars program and project management experience or equivalent education and experience
• Strong knowledge of Medicare Star ratings and quality improvement programs
• Advanced understanding of quality metrics and performance standards
• Experience with government-sponsored programs such as Medicaid and Medicare
• Proficiency in data analysis, reporting, and data-driven decision-making